NPI | 1336188309 |
---|---|
Former Name | ERIN ELIZABETH OSTBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2468) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010356) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2022-01-10 |