| NPI | 1497989602 |
|---|---|
| Former Name | MELANIE ANN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 910) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5210) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2017-02-21 |