| NPI | 1144787797 |
|---|---|
| Former Name | HEIDI LYNN IVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6452) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MN 6452) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |