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 |