| NPI | 1699320549 |
|---|---|
| Former Name | MEGAN GENEVA SHACKELFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60981939) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60981939) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-12-03 |