NPI | 1235709270 |
---|---|
Former Name | KRYSTAL KOVACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020731) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 433414) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2023-03-09 |