| NPI | 1023379252 |
|---|---|
| Former Name | KRISTIN ALEXANDRA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME123217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 17274) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-06-25 |