| NPI | 1215658885 |
|---|---|
| Former Name | SAMANTHA MOLLENHAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008849) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-08-13 |