NPI | 1114239670 |
---|---|
Former Name | THERESA R DUNNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI L1828737) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI L1828737) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2010-07-12 |