| NPI | 1982784807 |
|---|---|
| Former Name | ERIN KELLEY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 39268) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 40053) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 40053) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-02-24 |