| NPI | 1396090239 |
|---|---|
| Former Name | TAMERA LEE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH 04494-NS) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704136194) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704136194) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: OH 04494-NS) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-08-03 |