NPI | 1336885839 |
---|---|
Former Name | SAMANTHA JOANN BAXTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207817) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 219566) |
Enumeration Date | 2022-05-08 |
Last Update Date | 2024-10-15 |