| NPI | 1700133121 |
|---|---|
| Former Name | SAMANTHA LEIGH CONNERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055582) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MC2701870) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA055582) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2024-11-01 |