| NPI | 1700299419 |
|---|---|
| Former Name | ERIN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN193587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 18659) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2021-11-15 |