| NPI | 1922602622 |
|---|---|
| Former Name | SAMYRA ALLANA CASTERLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10731) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 001010731) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-04-18 |