NPI | 1215420864 |
---|---|
Other Name | KHAYLA N JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111424) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-06-08 |
Last Update Date | 2022-12-13 |