| NPI | 1902326945 |
|---|---|
| Former Name | SAMANTHA L LICHTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11855) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005843) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-08-13 |