| NPI | 1821423559 |
|---|---|
| Former Name | CRYSTAL MICHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-15252) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-15252) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |