NPI | 1336580968 |
---|---|
Former Name | MEGAN ELIZABETH BURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO AUD 685) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO AUD 685) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2017-02-02 |