| NPI | 1801118765 |
|---|---|
| Former Name | SAMANTHA HUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12323) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00385200) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA054195) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2025-11-19 |