| NPI | 1144808411 |
|---|---|
| Other Name | MADELINE JING JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036178143) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-04-24 |