NPI | 1225222680 |
---|---|
Former Name | MARCIE BETH MASSARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 063756) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 63756) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2015-11-18 |