| NPI | 1750750873 |
|---|---|
| Former Name | NATALIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20458) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 2640) |
| 163W00000X Registered Nurse (Licence: NC 284344) | |
| 163W00000X Registered Nurse (Licence: TN 203132) | |
| 363L00000X Nurse Practitioner (Licence: TN 20458) | |
| 363L00000X Nurse Practitioner (Licence: NC 5008283) | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2022-03-31 |