| NPI | 1548725559 |
|---|---|
| Former Name | MALIA SAMUELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2293316) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2293316) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9959) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11030507) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-12-02 |