| NPI | 1073715165 |
|---|---|
| Other Name | STACIE LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N2584) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01055347A) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2015-10-01 |