| NPI | 1487613709 |
|---|---|
| Former Name | ANGELA RENAE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 741) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 424) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-03-17 |