| NPI | 1699735019 |
|---|---|
| Former Name | NAKIISA M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01058163A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.085961) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-01-13 |