NPI | 1205165834 |
---|---|
Former Name | JESSICA MORIA BARNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5305) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN Pending) |
171100000X Acupuncturist (Licence: MN 874) | |
Enumeration Date | 2009-12-10 |
Last Update Date | 2014-07-01 |