| NPI | 1427265115 |
|---|---|
| Former Name | DEVORA RENEE SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN61107) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R127475) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-01-14 |