| NPI | 1477968493 |
|---|---|
| Former Name | ANNA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 29989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7230) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2022-07-21 |