| NPI | 1144941519 |
|---|---|
| Former Name | TABITHA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 448385) |
| 207L00000X Anesthesiology (Licence: OH 143730) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-02-03 |