| NPI | 1609386788 |
|---|---|
| Former Name | EMILY MAE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60784450) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60784450) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2025-05-08 |