NPI | 1992900732 |
---|---|
Former Name | ERIN ALEXANDRA JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09396400) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2022-02-02 |