| 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 | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 92696) |
| 207R00000X Internal Medicine (Licence: GA 63756) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-11-18 |