NPI | 1033550595 |
---|---|
Former Name | PAMELA JOYCE WOODWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03756) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009127) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2021-02-01 |