| NPI | 1407191208 |
|---|---|
| Other Name | FELICIA CAROL JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OU2955) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS016939) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2018-03-17 |