NPI | 1215556881 |
---|---|
Former Name | SAMANTHA LYNN OHMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57.249967) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-06-29 |