| NPI | 1821256801 |
|---|---|
| Professional Name | SAMANTHA LOUISE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D78881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61798) |
| 208000000X Pediatrics (Licence: GA 002952) | |
| 208000000X Pediatrics (Licence: VA 0101269251) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-02-16 |