| NPI | 1316925787 |
|---|---|
| Former Name | SANTA JOAN JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01062804A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101049567) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101049567) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2012-02313) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-06-22 |