NPI | 1972167500 |
---|---|
Former Name | HANNAH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA4539) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN PA4539) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-29 |
Last Update Date | 2023-09-24 |