| NPI | 1942444054 |
|---|---|
| Former Name | CHRISTY LEE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD49694) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-02377) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2022-03-29 |