NPI | 1942330857 |
---|---|
Former Name | SHANNON KAY NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KS 1121) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2002012679) |
237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1121) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2019-08-01 |