NPI | 1588224653 |
---|---|
Former Name | JENNIFER FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 274051) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14028) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-01-18 |