| NPI | 1447339221 |
|---|---|
| Former Name | MARY KATHRYN JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 301510) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 41940) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-02-08 |