| NPI | 1881100329 |
|---|---|
| Former Name | SHEA L BRUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 00592) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 00881) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-01-30 |