| NPI | 1629510623 |
|---|---|
| Former Name | SAMANTHA RYAN JUDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704284681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002090) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD ac001428) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024172146) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-01-31 |