| NPI | 1699033241 |
|---|---|
| Former Name | SAMANTHA LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 791186) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 791186) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-11-08 |