| NPI | 1437634912 |
|---|---|
| Former Name | BROOKE LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Q00000X Spec/Tech, Pathology (Licence: CA 31961) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 6698) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2021-07-13 |