NPI | 1235408899 |
---|---|
Former Name | STEPHANIE KAY ZINDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 076964) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4821-12) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2015-05-04 |