NPI | 1003390899 |
---|---|
Former Name | ALEXANDRA THIELEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 7245) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013264) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2024-09-25 |