NPI | 1588967830 |
---|---|
Other Name | JANET SUSAN JOHNSBULLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 24998) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01021181A) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2010-12-08 |