| NPI | 1649681404 |
|---|---|
| Former Name | KATHERINE O JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9442143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041407409) |
| 163W00000X Registered Nurse (Licence: KS 13-107065-092) | |
| 163W00000X Registered Nurse (Licence: MO 2009036585) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9442143) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-76323-092) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2014009617) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-03-05 |