NPI | 1588902266 |
---|---|
Former Name | KATHLEEN M JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123091) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 757037) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2020-06-29 |