| NPI | 1306554530 |
|---|---|
| Former Name | KATHERINE RAE JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018120) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |