NPI | 1265083091 |
---|---|
Former Name | SAMANTHA ASHLEY OHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MA060998) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2024-08-05 |