| NPI | 1093454308 |
|---|---|
| Former Name | SAMANTHA HOWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-04-08 |