NPI | 1801407119 |
---|---|
Former Name | SAMANTHA NOLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704281306) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704281306) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2023-01-09 |