| NPI | 1629000252 |
|---|---|
| Former Name | KAMARA DIANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 2572) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2004035000) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 45840) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-05-29 |