| NPI | 1154441970 |
|---|---|
| Former Name | LISA MICHELLE JOHNSON-BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302996-1) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-10 |