NPI | 1033476874 |
---|---|
Former Name | VICTORIA MARIE RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020904) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.139832-M-IV) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 421097) | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2023-12-12 |