| NPI | 1831399393 |
|---|---|
| Former Name | BREANNA RENEE BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16192) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-03-26 |