NPI | 1396281739 |
---|---|
Former Name | BROOKE ASHLEY SKOWRONSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 851) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34726) |
111N00000X Chiropractor (Licence: MO 2021034809) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2024-10-22 |