| NPI | 1093745481 |
|---|---|
| Former Name | ALISA DYANE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04977) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 4977) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-10-08 |