NPI | 1962671826 |
---|---|
Former Name | EMILY BERGITTE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101245215) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 37749) |
207P00000X Emergency Medicine (Licence: DC MD038070) | |
Enumeration Date | 2008-02-25 |
Last Update Date | 2011-03-16 |