| NPI | 1346218443 |
|---|---|
| Former Name | SKYE J JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA170083) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9999) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-10-23 |