| NPI | 1720043359 |
|---|---|
| Former Name | RUTH ELAINE JOHNSON HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP004761B) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-12-31 |