NPI | 1861978108 |
---|---|
Former Name | SAMANTHA ROSE KUZMANOVSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704294114) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704294114) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2023-12-19 |