NPI | 1376981282 |
---|---|
Former Name | JULIE ELIZABETH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60963747) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007283) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2019-09-18 |