| NPI | 1144647520 |
|---|---|
| Former Name | SAMANTHA SHERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A23218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 69321) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-08-01 |