NPI | 1356398291 |
---|---|
Former Name | JENNY A KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1069) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5000) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2016-06-01 |