| NPI | 1891274189 |
|---|---|
| Former Name | SAMANTHA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN02716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2304854) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-09-06 |