NPI | 1760119523 |
---|---|
Other Name | MAGGIE JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601011358) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-08-02 |
Last Update Date | 2024-03-06 |