NPI | 1679198873 |
---|---|
Former Name | SAMANTHA ZIESK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007279) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11007279) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11007279) | |
Enumeration Date | 2020-06-12 |
Last Update Date | 2025-02-17 |