NPI | 1033414644 |
---|---|
Former Name | ABIGAIL LYNN BOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05374) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0105374) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2021-01-23 |