NPI | 1982058673 |
---|---|
Former Name | BRITTNI ALLISON JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A153950) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A153950) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2023-10-06 |