| NPI | 1013327923 |
|---|---|
| Former Name | SAMANTHA M RUPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D94897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD461400) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-02-20 |