| NPI | 1194271429 |
|---|---|
| Former Name | LAURA MICHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9279311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9279311) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-02-07 |