| NPI | 1497253256 |
|---|---|
| Former Name | SAMANTHA M CIKESH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.016922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016922) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-11-25 |