| NPI | 1831110279 |
|---|---|
| Professional Name | BERNICE IK-JANG MI JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-001948) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-02-19 |