| NPI | 1093955361 |
|---|---|
| Former Name | JENNIFER BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA ch60175587) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009546) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2019-11-13 |