NPI | 1528044278 |
---|---|
Former Name | JILL HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2022024301) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008152) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2024-04-02 |