| NPI | 1932766623 |
|---|---|
| Former Name | DANIELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011518) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN286890) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-03-07 |