| NPI | 1154788792 |
|---|---|
| Former Name | NICOLE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2999) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011100) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-01-19 |