| NPI | 1538809298 |
|---|---|
| Former Name | SAMANTHA ROSE LLANAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 83875-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-03-26 |