| NPI | 1770942286 |
|---|---|
| Former Name | MEGHAN IRENE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 13108) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13108) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |