| NPI | 1992438998 |
|---|---|
| Former Name | SANDRA KAY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016823) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 5016823) |
| 363L00000X Nurse Practitioner (Licence: NC 5016823) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-07-19 |