| NPI | 1447409933 |
|---|---|
| Former Name | KRISTINA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1522) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 250) |
| 231H00000X Audiologist (Licence: WA LD60512175) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2015-08-10 |