NPI | 1538486154 |
---|---|
Former Name | ANDREA MARIE ALBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 1003) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5508) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2015-06-04 |