| NPI | 1912118225 | 
|---|---|
| Former Name | STEPHANIE ANN HOGLUND | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6509860-1202) | 
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: UT 6509860-1202) | 
| Enumeration Date | 2007-05-25 | 
| Last Update Date | 2024-02-09 |