NPI | 1942358783 |
---|---|
Other Name | AMY LEE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 34363) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 72397) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 72397) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2025-02-25 |