NPI | 1053702696 |
---|---|
Former Name | LINDSAY HERZOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 8108) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3492) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2024-03-01 |