| NPI | 1639548076 |
|---|---|
| Former Name | SAMANTHA ANN SPONSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172852) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-21 |