| 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 |