| NPI | 1780748640 |
|---|---|
| Former Name | CHERRY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20744) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 548255) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 548255) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 548255) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-11-15 |