| NPI | 1811072903 |
|---|---|
| Former Name | ELISABETH HICKOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2089) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 7947) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-10-30 |