| NPI | 1598841256 |
|---|---|
| Former Name | ROSEANNE ELLIS DISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC430) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 104000516) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-07-09 |