| NPI | 1801204193 |
|---|---|
| Former Name | ERICA R JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9556166) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-05-22 |