NPI | 1215944855 |
---|---|
Former Name | KENICE ANNE GRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038.005796) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: FL CH0006374) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2025-01-13 |