NPI | 1942668132 |
---|---|
Former Name | VERONICA DENISE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9295726) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9295726) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2019-04-16 |