| NPI | 1366610578 |
|---|---|
| Former Name | REBECCA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1310) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 4857) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2015-04-23 |