| NPI | 1427764158 |
|---|---|
| Former Name | OLIVIA SUSANNE MCMAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024196508) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2026-03-13 |