NPI | 1871876912 |
---|---|
Former Name | SAMANTHA LENHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 015126) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 23015126) |
Enumeration Date | 2011-09-26 |
Last Update Date | 2015-08-07 |