| NPI | 1235411182 |
|---|---|
| Former Name | ASHLEY REBECCA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3599) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: LA 200030) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 005809) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2019-06-24 |