| NPI | 1205211430 |
|---|---|
| Former Name | KATIE L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 23338) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 23185) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN232213) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-02-02 |