NPI | 1609052570 |
---|---|
Former Name | AMY ALLISON PANYKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9490) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2596) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2013-02-19 |