Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | VT |
NPI | 1154503944 |
---|---|
Provider Name | Dr. Michelle Margaret Dillon |
First Address | Charlotte, NC 28226-3786 |
Second Address | Charlotte, NC 28226-3786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 06/06/2012 |