NPI | 1962748335 |
---|---|
Professional Name | LACEY D GILLIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007633) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5703) |
Enumeration Date | 2012-12-12 |
Last Update Date | 2023-09-19 |