NPI | 1306975966 |
---|---|
Former Name | SHANNON M BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO 336) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO 336) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2017-02-17 |