| NPI | 1730302647 |
|---|---|
| Former Name | SHELLY MARIE SMITH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3434) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 003434) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-04-05 |