| NPI | 1407096167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ISBISTER Owner 260-969-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 01055513A) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2014-08-19 |