NPI | 1487699252 |
---|---|
Former Name | MARGARET ANN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0374) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9517) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2018-03-17 |