NPI | 1760516249 |
---|---|
Former Name | TENLEY E PALISIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: SC 27986) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27986) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2018-07-20 |