NPI | 1023276888 |
---|---|
Former Name | STEPHANIE J FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC SC4042) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 7990907) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2016-06-27 |