| NPI | 1053795930 |
|---|---|
| Former Name | LINDSAY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 262594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 68419) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2021-10-22 |