NPI | 1942485388 |
---|---|
Former Name | DONNA SHERYL JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002188A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147-000091) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2013-03-18 |