NPI | 1508131327 |
---|---|
Former Name | BETHANY HEATHER DREILING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013099) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.012113) |
111N00000X Chiropractor (Licence: MI 2301010221) | |
Enumeration Date | 2012-03-12 |
Last Update Date | 2021-12-14 |