| NPI | 1528014057 |
|---|---|
| Former Name | JENNIFER ELAINE STASZKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 62980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-00818) |
| 207R00000X Internal Medicine (Licence: PA OS014555) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-02-07 |