| NPI | 1881033561 |
|---|---|
| Former Name | STEFANIE M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS14474) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO3620) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-12-16 |