| NPI | 1265012124 |
|---|---|
| Former Name | SAMANTHA NICOLE MCPHERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704360396) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |