| NPI | 1083353726 |
|---|---|
| Former Name | KRISTI ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV ED1126) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |