| NPI | 1376845776 |
|---|---|
| Former Name | JILL CHRISTINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WI 4345-33) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041341067) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209010625) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WI 175556-30) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2014-04-08 |