NPI | 1558932889 |
---|---|
Other Name | JUDY ELAINE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014135) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2023-02-10 |