| NPI | 1962875054 |
|---|---|
| Former Name | SAMANTHA BOLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4030464) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038048) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0103466) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2024-12-18 |