| NPI | 1083985105 |
|---|---|
| Former Name | BRIDGET FOUSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5597) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2014-09-17 |