| NPI | 1558408542 |
|---|---|
| Other Name | CRYSTAL WATKINS JOHANSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D72188) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD T4836) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-11-01 |