NPI | 1063590909 |
---|---|
Former Name | SANDRA LEE OPPENHEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO28866) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WI 31600) |
207Q00000X Family Medicine (Licence: OR D028866) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-07 |