| NPI | 1174299002 |
|---|---|
| Former Name | SAMANTHA DENISE AWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0027501) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |