| NPI | 1962156869 |
|---|---|
| Former Name | ABIGAIL M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11877-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 223522-30) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-03-16 |