| NPI | 1700910684 |
|---|---|
| Former Name | ANDREA MICHELLE SARDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556841) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4293-012) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-03-08 |