NPI | 1003304684 |
---|---|
Former Name | LAURA BURSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01709) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6504) |
Enumeration Date | 2018-04-29 |
Last Update Date | 2020-04-02 |