| NPI | 1114421518 |
|---|---|
| Former Name | TIORRA JOHNSON ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T3796) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-10-27 |