| NPI | 1235115015 |
|---|---|
| Former Name | SAMANTHA ANN MONGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A10029) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-05-01 |