NPI | 1558892802 |
---|---|
Former Name | EMMA BLESSINGTON JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 202828-4) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2018-07-30 |