| NPI | 1972050649 |
|---|---|
| Former Name | SAMANTHA RAUCHWERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020169) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3695) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-10-17 |