NPI | 1801881925 |
---|---|
Former Name | TERA KAY HAMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008899) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: IA 3994) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2007-11-07 |