NPI | 1164985099 |
---|---|
Other Name | SAMANTHA KAUFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209031249) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008948A) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-01-02 |