| NPI | 1164412318 |
|---|---|
| Former Name | ANDREA ELLEN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SC MD18759) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 18759) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-10-31 |