| NPI | 1174893598 |
|---|---|
| Former Name | ANDI MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 143826) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28227075A) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2020-09-04 |