| NPI | 1023354198 |
|---|---|
| Former Name | LINDSAY MADELINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2314760) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP012531) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2018-03-17 |