| NPI | 1649363755 |
|---|---|
| Former Name | CRISTA E JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1013899) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 40882) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-05-18 |