NPI | 1790130730 |
---|---|
Former Name | AMANDA SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007178) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 090949) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2018-02-19 |