| NPI | 1659460707 |
|---|---|
| Former Name | MELISSA ELEEN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4275) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 1942) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |