| NPI | 1184842957 |
|---|---|
| Former Name | JILL K JOHNSTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 55664) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP00061) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-13 |