| NPI | 1962608794 |
|---|---|
| Former Name | MICHELLE CHRISTINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2007011572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007011572) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-09-23 |