| NPI | 1003156985 |
|---|---|
| Former Name | AMANDA LYNN NENNEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4961-12) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2022-02-04 |