| NPI | 1497025647 |
|---|---|
| Former Name | LAUREN GABRIELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001223115) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2023-03-07 |