| NPI | 1366873358 |
|---|---|
| Former Name | ASHLEY GRACE INGINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015014332) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05593) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2017-04-04 |