| NPI | 1902042914 |
|---|---|
| Former Name | SHELLEY DEE SECOOLISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ YA00424) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ MG00855) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2020-03-18 |