| NPI | 1770255408 |
|---|---|
| Former Name | SAMANTHA RHEA GALLIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001259478) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-11-28 |