| NPI | 1679928402 |
|---|---|
| Former Name | SAMANTHA MORAES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5019037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6466935-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340399-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019037) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2024-02-09 |