| NPI | 1538506340 |
|---|---|
| Former Name | ELLICIA CLAIRE CARAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2774) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 4191) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-10-26 |