NPI | 1497727549 |
---|---|
Former Name | JAIMY ERRIN BEATTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6057) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38010342) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2008-11-18 |