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 |