NPI | 1528313012 |
---|---|
Former Name | SARA M MATHESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.13843) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 312504) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH 13843) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2024-03-12 |