NPI | 1114256716 |
---|---|
Former Name | KRISTEN ELLEN MANNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000112) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.103571) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2009-12-11 |