| NPI | 1477067080 |
|---|---|
| Former Name | SAMANTHA PARRISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006402RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002371A) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-06-08 |