| NPI | 1801005020 |
|---|---|
| Former Name | COURTNEY M. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IN 01067259A) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IN 01067259) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-02-03 |