| NPI | 1235373788 |
|---|---|
| Former Name | ANITA KAY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5971) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AK 28360) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-05-23 |