| NPI | 1407057953 |
|---|---|
| Former Name | KRISTINA MICHELLE SNIHUROWYCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MN 69833) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 264807-1205) |
| 208D00000X General Practice (Licence: UT 264807-1205) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-06-02 |