NPI | 1427449693 |
---|---|
Former Name | SAMANTHA J PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA057441) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057441) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2022-01-18 |