| NPI | 1942350848 |
|---|---|
| Former Name | MARIE BERNADETTE SAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN3170352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3170352) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-08-17 |