NPI | 1407057953 |
---|---|
Former Name | KRISTINA MICHELLE SNIHUROWYCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (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 |