NPI | 1114456019 |
---|---|
Former Name | SARAH A JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 080018-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021138) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2019-07-01 |