| NPI | 1578744462 |
|---|---|
| Former Name | SUSAN L JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 3451491) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 141459) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 354149) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2012-01-05 |