NPI | 1386988285 |
---|---|
Former Name | MELISSA BRISCOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR009244) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6876) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-05-17 |