NPI | 1417104423 |
---|---|
Former Name | BETHANY JUNE DIGNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11281) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2008-08-20 |
Last Update Date | 2014-11-05 |