| NPI | 1801018726 |
|---|---|
| Former Name | GENA MARIE KASPARBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06599) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002104A) |
| 111N00000X Chiropractor (Licence: MN 5252) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-04 |