NPI | 1235678731 |
---|---|
Former Name | JESSE ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 0000003725) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-02-16 |
Last Update Date | 2023-10-16 |