NPI | 1588993497 |
---|---|
Former Name | KATIE L GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-011401) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198-001079) |
Enumeration Date | 2009-12-24 |
Last Update Date | 2015-10-20 |