| NPI | 1710153820 |
|---|---|
| Former Name | KIMBERLY A. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MD R136148) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2010-04-28 |