| NPI | 1265163190 |
|---|---|
| Former Name | COURTNEY NICHOLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557996-032) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-04-09 |