| NPI | 1609910686 |
|---|---|
| Former Name | KATHALEEN A JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN516826L) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP009142) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-03-21 |