| NPI | 1518355916 |
|---|---|
| Former Name | ELIZABETH LANDRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 11386) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: FL AL3203) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-02-04 |