| NPI | 1336376433 |
|---|---|
| Former Name | /KIMBERLY S JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041.248544) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |