| NPI | 1457042558 |
|---|---|
| Former Name | AMBER LYN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1414) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10208007) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-01-19 |