NPI | 1487194288 |
---|---|
Former Name | NICOLE STESSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IA 007661) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007661) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |