NPI | 1538501119 |
---|---|
Former Name | JESSICA JO BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1881) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002729A) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2020-09-29 |