NPI | 1366670366 |
---|---|
Former Name | STEPHANIE LYNNE JOHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 12358) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6050) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2018-09-10 |