| NPI | 1104970482 |
|---|---|
| Former Name | TABITHA ELIZABETH WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10505) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010475) |
| 111N00000X Chiropractor (Licence: MI 2301009273) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |