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 | 208M00000X Hospitalist (Licence: WI 83875-20) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-09-09 |