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 |