| NPI | 1275974719 |
|---|---|
| Former Name | HOLLY ROCHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2013024829) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2025-08-29 |