NPI | 1316400997 |
---|---|
Former Name | SAMANTHA KAY LEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557718) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13129830) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-09-10 |