| NPI | 1487681904 |
|---|---|
| Former Name | TAMELA JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MD R045009) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R045009) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |