| 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 |