| NPI | 1346639473 |
|---|---|
| Former Name | SAMANTHA HASTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95045814) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2020-06-17 |