NPI | 1629268263 |
---|---|
Former Name | KAREN E BRUNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 35873) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101245570) |
208000000X Pediatrics (Licence: AL 35873) | |
Enumeration Date | 2007-07-30 |
Last Update Date | 2019-06-28 |