| NPI | 1932543717 |
|---|---|
| Former Name | SARA DANIELLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 0440173) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KS 0440173) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2021-08-09 |