| NPI | 1730150889 |
|---|---|
| Other Name | KIMBERLY ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 138414) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-01-16 |