Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 35.131377 | OH |
NPI | 1073807624 |
---|---|
Provider Name | Heather Brianne Minto |
First Address | Akron, OH 44302-1701 |
Second Address | Akron, OH 44302-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 14/07/2017 |