| NPI | 1376075481 |
|---|---|
| Former Name | JULIA LAURENCE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101281592) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S5692) |
| 208000000X Pediatrics (Licence: VA 0101281592) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-10-02 |