| NPI | 1730294612 |
|---|---|
| Former Name | SAMANTHA AMANDA CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0000776) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 13880) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-07-11 |