| NPI | 1750898482 |
|---|---|
| Former Name | NADIA CANDICE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 349789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 599241) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-06-19 |