| NPI | 1659866788 |
|---|---|
| Former Name | DANIELLE ELIZABETH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21733) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2023-04-19 |