| NPI | 1881346062 |
|---|---|
| Former Name | SAMANTHA GRARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 030134) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 863634) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-09-10 |