| NPI | 1659105930 |
|---|---|
| Former Name | SAMANTHA JANE GROTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83413-031) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-16 |