NPI | 1871670042 |
---|---|
Former Name | NICOLE LYNN HOLLINRAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007067) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2006013086) |
111N00000X Chiropractor (Licence: NE 1504) | |
111N00000X Chiropractor (Licence: CO 6011) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-04-08 |