| NPI | 1356584049 |
|---|---|
| Former Name | KELSIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R188918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 648678) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2023-05-23 |