| NPI | 1083096127 |
|---|---|
| Former Name | AMANDA LYNN PANUSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012737) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2017-03-24 |