| NPI | 1275181554 |
|---|---|
| Former Name | TAVONNA D JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IN 01093997A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01093997A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-11-06 |