| NPI | 1316175953 |
|---|---|
| Former Name | CAELAN MARY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101248689) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101248689) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-03-20 |