NPI | 1902029556 |
---|---|
Former Name | AMBER R. MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2007025111) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1432) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2015-12-16 |