NPI | 1376985937 |
---|---|
Former Name | BRITTANY ANN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MD R198499) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MD AC001206) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2015-09-09 |