| NPI | 1164718946 |
|---|---|
| Former Name | SAMANTHA A RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055399) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 540) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2021-12-16 |