NPI | 1457336406 |
---|---|
Former Name | SAMANTHA LAURELIN DREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135341) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 8293) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NV APRN001821) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2024-04-04 |