NPI | 1679661813 |
---|---|
Former Name | ANDREA K JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31083) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39217) |
207R00000X Internal Medicine (Licence: SC 31083) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2017-03-24 |