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 |