| NPI | 1689442824 |
|---|---|
| Former Name | ADRIAN SUZANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28432) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 255561) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-06-19 |