| NPI | 1114997186 |
|---|---|
| Former Name | JOHNNA KAY KNUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX K4472) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX K4472) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-04-06 |