| NPI | 1255815411 |
|---|---|
| Former Name | WENDY ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201906801CRNA-PP) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 125061) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2024-06-10 |