| NPI | 1487813135 |
|---|---|
| Former Name | STEPHANIE LYNN JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 52494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 52494) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2015-07-10 |