| NPI | 1043990492 |
|---|---|
| Former Name | STEPHANIE MANUEL SAMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN643391) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-08-15 |