NPI | 1336451004 |
---|---|
Former Name | SARAH JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 119279) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008220) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2021-06-23 |