NPI | 1093874372 |
---|---|
Former Name | DONNA I JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61031506) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP6534, RN424605) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2021-04-20 |