NPI | 1285916031 |
---|---|
Former Name | VICTORIA LYNN TATRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 997) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5473) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2023-06-08 |