NPI | 1669582599 |
---|---|
Former Name | SHARON MARIE DEFRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009489) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9057) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-07-21 |