| NPI | 1033517107 |
|---|---|
| Former Name | JESSICA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1253) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 12477) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-07-21 |