| NPI | 1790908663 |
|---|---|
| Former Name | AMY LAUREN JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: GA 69111) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2011-00855) |
| 207W00000X Ophthalmology (Licence: GA 69111) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-02-28 |