NPI | 1497731624 |
---|---|
Former Name | HEATHER A SOUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 611) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147-001232) |
237700000X Hearing Instrument Specialist (Licence: IA 934) | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2023-01-26 |