NPI | 1619009446 |
---|---|
Former Name | SAMANTHA WEIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704214848) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704214848) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-03-02 |