NPI | 1467062851 |
---|---|
Former Name | JULEE L JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 253806) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2022-12-19 |