| NPI | 1427479880 |
|---|---|
| Former Name | JILLIAN K PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 9387) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1248) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2025-06-19 |