| NPI | 1700413572 |
|---|---|
| Former Name | SAMANTHA JO STORTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OT022727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076548) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-12-04 |