| NPI | 1841230893 |
|---|---|
| Former Name | TERRI L.M. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301054368) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4301054368) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI JJ054368) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-02-27 |