| NPI | 1740721034 |
|---|---|
| Former Name | PAULA KAY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61669370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 124910) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-04-10 |