| NPI | 1316291057 |
|---|---|
| Former Name | DANA PITTMAN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 116948) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2023-10-02 |