| NPI | 1134674807 |
|---|---|
| Former Name | SAMANTHA KAENZIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010662) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010662) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-04-17 |