| NPI | 1750467668 |
|---|---|
| Former Name | MARILYNN PETERS JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35-065586) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-12-22 |