| NPI | 1497961494 |
|---|---|
| Former Name | JOHNNIE IRELAND SLAUGHTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 547683) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-03-30 |