NPI | 1376099606 |
---|---|
Former Name | MEGAN CROCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH13565) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM 506954673) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2023-03-09 |