| NPI | 1003052218 | 
|---|---|
| Former Name | MELANIE A JOHNSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R161452-1) | 
| Enumeration Date | 2008-12-18 | 
| Last Update Date | 2010-10-04 |