NPI | 1194449041 |
---|---|
Former Name | KATHERINE MARIE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5668-12) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-6785) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2022-10-03 |