NPI | 1174967038 |
---|---|
Former Name | HALEY BLAKE FERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: ME CR2158) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR2158) |
111N00000X Chiropractor (Licence: RI DCP00625) | |
Enumeration Date | 2013-04-23 |
Last Update Date | 2019-12-03 |