NPI | 1336491026 |
---|---|
Former Name | KAMI E JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 41101) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ND PAC0498) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2019-04-29 |