NPI | 1710417233 |
---|---|
Former Name | HEATHER ANN EDENFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13338) |
Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004085) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2023-03-13 |