NPI | 1033405147 |
---|---|
Former Name | JENNIFER MARY BROGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 553) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000568) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2011-06-27 |