| NPI | 1316025372 |
|---|---|
| Former Name | MELISSA ANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101245254) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-10-13 |