NPI | 1588095988 |
---|---|
Other Name | SAMANTHA WADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18613) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18613) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2023-05-02 |