NPI | 1588939714 |
---|---|
Former Name | AMANDA LEIGH JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991549-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0991549-NP) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN199065) | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2024-05-09 |