| NPI | 1063468890 |
|---|---|
| Professional Name | TAIRY ELAINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001991) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: VA 0110001991) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-08-04 |