NPI | 1699093021 |
---|---|
Former Name | KRYSTLE E LIEBERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5317) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 2716) |
171100000X Acupuncturist (Licence: MN 876) | |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2010-05-10 |
Last Update Date | 2022-09-08 |