NPI | 1548686108 |
---|---|
Former Name | SARA DONAHUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 3844) |
Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: OR 3844) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2014-03-06 |