| NPI | 1649604794 |
|---|---|
| Former Name | JOHNNA MICHELLE ROONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2013024799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009021853) |
| 163W00000X Registered Nurse (Licence: KS 14-124502-061) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2015-04-03 |