| NPI | 1770203341 |
|---|---|
| Former Name | SHIANNE NICOLE WITHEROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020605) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 143743) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-07 |