| NPI | 1326293804 |
|---|---|
| Former Name | JENNIFER LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10143) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1585) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |