| NPI | 1841459922 |
|---|---|
| Former Name | YENEISHA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D007129) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: DC MD039829) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-11-23 |