| NPI | 1538106141 |
|---|---|
| Former Name | SUSAN LYNN BROEKHUIZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: HI DC-1296) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: MI 2301008926) |
| 111N00000X Chiropractor (Licence: HI DC-1296) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-03-03 |