| NPI | 1326556861 |
|---|---|
| Former Name | DANIELLE MARIE FRYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013307) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3072) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-05-28 |