| NPI | 1801863402 |
|---|---|
| Former Name | SUSAN VAN VLIET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5937) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: FL CH5937) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-09-16 |