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 |