| NPI | 1467113738 |
|---|---|
| Former Name | MEGGAN VIOLA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD F07210098) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-07-25 |