| NPI | 1841735438 |
|---|---|
| Former Name | SAMANTHA NICOLE THORLEIFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175190) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-02-19 |