| NPI | 1972998029 |
|---|---|
| Former Name | SERENA KRISTINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60854850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60854850) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60854850) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2021-03-08 |