NPI | 1164043261 |
---|---|
Former Name | SAMANTHA KAY NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U4636) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX U4636) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2025-03-10 |