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