| NPI | 1386031094 |
|---|---|
| Former Name | NICOLE M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2016-02-09 |