NPI | 1821379637 |
---|---|
Former Name | MINDY ANN MIHALOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5806) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4781-012) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2013-07-17 |