| NPI | 1790028256 |
|---|---|
| Former Name | JULIE MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007949) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3007949) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2017-03-03 |