| NPI | 1982937165 |
|---|---|
| Former Name | KRISTEN JENNIFER SCULLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD458184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056239) |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2017-03-23 |