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 |