NPI | 1346451101 |
---|---|
Former Name | TARA ANNE KEATING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556531) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00680800) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2015-01-09 |