NPI | 1831609536 |
---|---|
Former Name | ASHLEY GENE SHIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12446) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009943) |
Enumeration Date | 2017-10-07 |
Last Update Date | 2022-02-14 |