| NPI | 1578875456 |
|---|---|
| Former Name | JOANNA CHANDRA SALMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.123229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022974) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2017-10-03 |