| NPI | 1558176438 |
|---|---|
| Former Name | SAMANTHA MARIE CARABALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2390912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2390912) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-04-09 |