| NPI | 1154718716 |
|---|---|
| Former Name | LIANA RAE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 201398) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209012786) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-08-05 |