| NPI | 1699701672 |
|---|---|
| Former Name | SARAH TERESA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10018) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 10018) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-10-11 |