| NPI | 1528420700 |
|---|---|
| Former Name | SAMANTHA ANN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD473164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 299816) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63753) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-10-28 |