NPI | 1568653756 |
---|---|
Former Name | AMANDA A TROTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX N7594) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX N7594) |
208000000X Pediatrics (Licence: TX BP1-0029100) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2022-11-10 |