| NPI | 1992044846 |
|---|---|
| Former Name | KELLY BETH SAMARTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 67122-21) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018162) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2021-12-28 |