NPI | 1295047942 |
---|---|
Former Name | KATHERINE LOUISE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI 5101018969) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101018969) |
Enumeration Date | 2010-07-10 |
Last Update Date | 2022-05-20 |