| NPI | 1205622321 |
|---|---|
| Former Name | ABIGAIL NOELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AZ R82047) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-07-22 |