NPI | 1265009682 |
---|---|
Former Name | SAMANTHA LEE ANZALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10664) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 157195) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CT 157195) | |
Enumeration Date | 2021-06-04 |
Last Update Date | 2025-01-27 |