NPI | 1952124075 |
---|---|
Former Name | MELISSA J SAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 372600000X Adult Companion |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-11-06 |
Last Update Date | 2025-04-14 |