NPI | 1932612413 |
---|---|
Former Name | SAMANTHA G SNAVELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-858) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 1146648) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2024-04-19 |