| NPI | 1245885482 |
|---|---|
| Former Name | SAMANTHA K ENGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-12-01 |