NPI | 1659083962 |
---|---|
Former Name | BRITTANY JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV WV115647) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 0001269695) |
363LW0102X Nurse Practitioner, Women's Health (Licence: WV 115647) | |
Enumeration Date | 2022-12-19 |
Last Update Date | 2024-02-16 |