| NPI | 1679328223 |
|---|---|
| Former Name | KAILEY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MN 2507658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2507658) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |