| NPI | 1588078174 |
|---|---|
| Former Name | LINDSEY NICOLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101265100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL36900) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-10-30 |