| NPI | 1760750277 |
|---|---|
| Other Name | ELLIATTA WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60209172) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2278) |
| 111N00000X Chiropractor (Licence: TX 11030) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |