| NPI | 1205938784 |
|---|---|
| Former Name | VIRGINIA M JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD18021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD000351440) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |