NPI | 1639669732 |
---|---|
Former Name | SYDNEY MARIE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-48274) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-48274) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-48274) | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2025-07-09 |