| NPI | 1124421011 |
|---|---|
| Former Name | VIRIGINIA SHELBY JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AR A004223) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2020-01-31 |