| NPI | 1811975287 |
|---|---|
| Former Name | KRYSTOL LYNN JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 332287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 0098-00925) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2025-01-10 |