| NPI | 1992560643 |
|---|---|
| Former Name | SAMANTHA JO HARGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A178267) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-08-29 |