| NPI | 1760009971 |
|---|---|
| Former Name | LAURA E DUNLEVY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704363812) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-01-28 |