| NPI | 1104235274 |
|---|---|
| Former Name | LINDSEY ANN SAMPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017811) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 017811) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2021-11-10 |