NPI | 1275118093 |
---|---|
Former Name | SAMANTHA HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28240896A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28240896A) |
Enumeration Date | 2021-03-12 |
Last Update Date | 2021-05-20 |