NPI | 1124662812 |
---|---|
Former Name | MELANIE EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4363) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06007) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2024-01-04 |