| NPI | 1265655765 |
|---|---|
| Former Name | MARGARET PATRICIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 468-039) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-07-25 |