| NPI | 1881414936 |
|---|---|
| Former Name | SAMANTHA DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NJ 26NR23727800) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR23727800) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |