| NPI | 1275821316 |
|---|---|
| Former Name | MEKENZIE SPENCER JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA d127901) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-03-15 |