NPI | 1477524163 |
---|---|
Former Name | NADINE K. JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-17256) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R8968) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2016-03-15 |