| NPI | 1588022743 |
|---|---|
| Former Name | RENAE ELIZABETH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R42804) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |