| NPI | 1730718867 |
|---|---|
| Former Name | SAMANTHA LYNN NOLKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020022341) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2013017085) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: MO 2013017085) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 5379596) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2022-10-24 |