| 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 |