| NPI | 1740088566 |
|---|---|
| Former Name | SAMANTHA JORDAN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1193518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 983216) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-21 |