NPI | 1427345453 |
---|---|
Former Name | CLAIRE E THORLEIFSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 9411) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80285) |
237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80285) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2019-09-24 |