| NPI | 1255690871 |
|---|---|
| Former Name | JACQUELINE A HORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: MS 27135) |
| Additional Taxonomies | 2086S0129X (Licence: TN 59851) |
| 2086S0129X (Licence: AR E-12968) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-08-15 |