| NPI | 1528301587 |
|---|---|
| Former Name | JENNY ADELE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NY 287995-1) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 287995) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-08-28 |