| NPI | 1245548999 |
|---|---|
| Former Name | KIMBERLY DIANE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 14205) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2024-11-01 |