NPI | 1609433267 |
---|---|
Former Name | HANNAH PEARCE DICKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: NE 32926) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 32926) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-05-29 |