| NPI | 1346554417 |
|---|---|
| Former Name | PATRICE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008251041342524) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2022-04-22 |