| NPI | 1902101223 |
|---|---|
| Former Name | VICTORIA E SHAWVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA-12222NA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 328769) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-03-07 |