NPI | 1689952525 |
---|---|
Former Name | JULIE ANNE JIN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009725) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 156994) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 4524) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2018-09-14 |