| NPI | 1588851976 |
|---|---|
| Former Name | KRIST MICHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2771) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1721DT) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-07-21 |