| NPI | 1992155162 |
|---|---|
| Other Name | CECILIA MIRANDA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2016016360) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-12-05 |