| NPI | 1942689120 |
|---|---|
| Former Name | SAMANTHA BERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 18018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME DO2795) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME TP15054) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-06-16 |