NPI | 1801346374 |
---|---|
Former Name | ANA CLARE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 111872) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R194858-5) |
163W00000X Registered Nurse (Licence: WI 197620-30) | |
Enumeration Date | 2016-10-09 |
Last Update Date | 2016-10-09 |