NPI | 1023618246 |
---|---|
Former Name | TORI JO MEYSENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 2077) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 6) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-03-25 |