| NPI | 1952792731 |
|---|---|
| Former Name | KRISTEN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015010659) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025975) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2023-07-25 |