NPI | 1821080391 |
---|---|
Other Name | DARLENE KARIN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO 41812) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CO 41812) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2020-12-09 |