NPI | 1013259407 |
---|---|
Former Name | AMBER LAUREL NARDANDREA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME126769) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126769) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME126769) | |
Enumeration Date | 2013-03-23 |
Last Update Date | 2021-03-30 |