| NPI | 1124857446 |
|---|---|
| Former Name | CHARLIE SAMANTHA JEFFRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 38132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000235835) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-09-08 |