NPI | 1740661677 |
---|---|
Former Name | ERIN ELIZABETH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 100320) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AK 100320) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2017-03-31 |