NPI | 1356387187 |
---|---|
Former Name | NEEMA A JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME69383) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C54745) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2015-11-04 |