| NPI | 1144203316 |
|---|---|
| Former Name | KATIE L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110600) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-02-01 |