NPI | 1366705592 |
---|---|
Former Name | SARAH NICOLE BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 54126) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 54126) |
208000000X Pediatrics (Licence: TN 54126) | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2020-01-31 |