| NPI | 1689086290 |
|---|---|
| Former Name | JAIMIE L OBORNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014010985) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05581) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2022-04-11 |