| NPI | 1003042508 |
|---|---|
| Former Name | SAMANTHA LONETTA RAE KIMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003994A) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |