NPI | 1124359310 |
---|---|
Former Name | STEFANIE SUZANE FUESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4377) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3987) |
111N00000X Chiropractor (Licence: SC 3822) | |
Enumeration Date | 2010-01-27 |
Last Update Date | 2016-10-20 |