| NPI | 1528504768 |
|---|---|
| Former Name | SAMANTHA RACHELE TELARROJA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00496) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA3008) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2025-02-28 |