| NPI | 1033583695 |
|---|---|
| Former Name | KATHLEEN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129251) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 805081) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2026-08-31 |