NPI | 1518359371 |
---|---|
Former Name | JENNIFER MICHELE MORRIS, WYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IN 08003049A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009560) |
111NS0005X Chiropractor, Sports Physician (Licence: HI Dc-1312) | |
Enumeration Date | 2015-03-03 |
Last Update Date | 2018-11-14 |