| NPI | 1992335863 |
|---|---|
| Former Name | SAMANTHA LYNN CLAYBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN260006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23608) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2024-07-12 |