NPI | 1336489095 |
---|---|
Former Name | LISETTE MICHELLE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12731) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000856) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2020-01-30 |