| NPI | 1598085847 |
|---|---|
| Former Name | KATHRYN REBECCA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 300638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 128684) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-06-06 |