| NPI | 1073889333 |
|---|---|
| Former Name | KELSEY ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 265963) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 265963) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-01-15 |