| NPI | 1528214020 |
|---|---|
| Former Name | LISA MICHELLE SAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60084282) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A9742) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-12-19 |