| NPI | 1073187522 |
|---|---|
| Former Name | EMILY JANE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS21102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL83646) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-09-27 |