| NPI | 1659979169 |
|---|---|
| Former Name | SAMANTHA KASTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020034777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-83104-121) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020034777) | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2026-05-29 |