| NPI | 1881922730 |
|---|---|
| Former Name | CARRIE ELIZABETH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01241) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2013-08-19 |