| NPI | 1346722618 |
|---|---|
| Former Name | SAMANTHA SWIATEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008816) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-04-04 |