| NPI | 1275907354 |
|---|---|
| Former Name | ABBEY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R888625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20721) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2019-07-10 |