NPI | 1104842541 |
---|---|
Former Name | SHARON L BROADBENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A60091) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2021-01-26 |