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 |