NPI | 1053380618 |
---|---|
Former Name | CHRISTY D JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 226596) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 226596) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2020-10-22 |