NPI | 1710254016 |
---|---|
Former Name | SAMANTHA J PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17687) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 105582) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2013-07-08 |