NPI | 1457520405 |
---|---|
Former Name | AMBER ROSE RUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007334) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1507) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2010-07-07 |