| NPI | 1659659720 |
|---|---|
| Former Name | TRACY ANN SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012091) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011988) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2012-10-05 |