| NPI | 1538631254 |
|---|---|
| Former Name | SAMANTHA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017636) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP034063) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-10-14 |