| NPI | 1215329388 |
|---|---|
| Former Name | SAMANTHA MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153659) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016376A) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2025-09-19 |