NPI | 1043601057 |
---|---|
Professional Name | JOHNNIE DOMINICA JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277001345) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012407) |
Enumeration Date | 2015-02-12 |
Last Update Date | 2023-07-25 |