| NPI | 1922392505 |
|---|---|
| Former Name | AMY M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12975) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH 024801) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |