NPI | 1912978347 |
---|---|
Former Name | MARILYN JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO RN089198) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2011-04-06 |