| NPI | 1144352261 |
|---|---|
| Former Name | TIFFANY NICHOLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA09313-NA) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-09-29 |