| NPI | 1326133588 |
|---|---|
| Former Name | SAMANTHA LIZ COZART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2005-0014) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2005-0014) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-07-14 |