| NPI | 1184824211 |
|---|---|
| Former Name | SAMANTHA A SCANLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 50963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50963) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-04-11 |