| NPI | 1720817018 |
|---|---|
| Former Name | VANESSA MICHELLE JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95030225) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |