| NPI | 1013268218 |
|---|---|
| Other Name | SAMANTHA LYNN WHALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5512) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 2833) |
| 363AS0400X Physician Assistant, Surgical (Licence: MA PA5512) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-07-01 |