| NPI | 1184872566 |
|---|---|
| Other Name | AUDETTE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003755A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28170373A) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-07-28 |