| NPI | 1568640167 |
|---|---|
| Former Name | LOREN MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-095463) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |