| NPI | 1184808206 |
|---|---|
| Former Name | PAMELA JEAN JOHNSON/MCGILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990105-NP) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2019-05-30 |