NPI | 1437484474 |
---|---|
Former Name | AMBER SHAKIRA JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS11158) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2017-04-12 |