| NPI | 1912240060 |
|---|---|
| Former Name | BROOK JOHANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61178764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61178764) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-11-24 |