| NPI | 1316054398 |
|---|---|
| Former Name | VALERIE L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 005078) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS9022) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-01-26 |