| NPI | 1730699109 |
|---|---|
| Former Name | SAMANTHA K BLUEFARB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005278RX) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 50.005278RX) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-09-16 |