| NPI | 1972837185 |
|---|---|
| Former Name | JOHNNA L BOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1551) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4281) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2013-08-29 |