| NPI | 1568779296 |
|---|---|
| Former Name | SHAWNA SUE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 567-156) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU2743) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2011-11-23 |