NPI | 1780971093 |
---|---|
Former Name | SAMANTHA C. DECAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 6199) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
367H00000X Anesthesiologist Assistant (Licence: GA 006199) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2023-04-26 |