NPI | 1497743272 |
---|---|
Former Name | NANCY M THISSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23001971A) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23001971A) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2021-06-18 |