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 |