| NPI | 1932758596 |
|---|---|
| Former Name | SAMANTHA MEGAN SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F09190278) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2021-11-30 |