NPI | 1962176297 |
---|---|
Former Name | DARAH LEA MCINTURF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AL 1644) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2021-08-02 |