| NPI | 1811336506 |
|---|---|
| Former Name | AMANDA CLAIRE RUDERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 5101020432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101020432) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-02-17 |