| 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 |