NPI | 1497067300 |
---|---|
Former Name | CHRISTINA A. NISONGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301096578) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 4301096578) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2020-09-14 |