NPI | 1699835702 |
---|---|
Former Name | DANA S FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4238-012) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010825) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2011-08-03 |