| NPI | 1790977015 |
|---|---|
| Former Name | ERICA J JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2534) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA7272) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA7272) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2009-11-18 |