NPI | 1215092176 |
---|---|
Former Name | GEORGIA J. OHLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 4604) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: KS 4604) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2019-03-17 |