NPI | 1376705335 |
---|---|
Former Name | COREY A JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.094525) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.094525) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2025-04-22 |