| NPI | 1851045140 |
|---|---|
| Former Name | SAMANTHA LUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005013A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007387RX) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2025-12-15 |