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 |