NPI | 1407842768 |
---|---|
Former Name | CONSTANCE M MEIS-ROBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 4291) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 6424) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2021-06-01 |