NPI | 1134511884 |
---|---|
Former Name | DAWN ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15661) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TX AT2745) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2023-06-30 |