| NPI | 1992362859 |
|---|---|
| Former Name | SAMANTHA JO RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-135895) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-06-12 |