| NPI | 1053312215 |
|---|---|
| Former Name | LINDA FAYE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 36105) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-04-16 |