| NPI | 1770060444 |
|---|---|
| Former Name | SAMANTHA BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001439) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-08-05 |