| NPI | 1811662646 |
|---|---|
| Former Name | SAMANTHA SHELBY FICON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95024545) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383275) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-09-25 |