NPI | 1669837191 |
---|---|
Former Name | SAMANTHA KLINGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129914) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 742812) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2023-08-15 |