| NPI | 1104160753 |
|---|---|
| Former Name | LYDIE-DANIELLE SAMEDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00345300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016255) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2021-05-17 |