| NPI | 1912423245 |
|---|---|
| Former Name | JENNIFER E JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14750) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2122) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2024-05-02 |