NPI | 1366097255 |
---|---|
Former Name | SAMANTHA ALICE MCNAUGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 230836) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-08-07 |
Last Update Date | 2022-01-04 |