| NPI | 1316121544 |
|---|---|
| Former Name | PATRICIA ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 429852) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 429852) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |