NPI | 1891960779 |
---|---|
Former Name | ALAINA JOELLE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN MD53973) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P9168) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2022-03-21 |