NPI | 1275102725 |
---|---|
Former Name | AUBREY JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101277361) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101277361) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-20 |
Last Update Date | 2023-08-23 |