| NPI | 1962574582 |
|---|---|
| Former Name | ANDREA J. GILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2040) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5102) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-04-17 |