NPI | 1154508919 |
---|---|
Former Name | KATHLEEN ANN TRIPLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2249) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002826A) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2019-11-15 |