| NPI | 1275736902 |
|---|---|
| Former Name | MELANIE JEANNINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 68037) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 68037) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2012-01382) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-17357) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 2012-01382) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-17357) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-20 |