NPI | 1609431501 |
---|---|
Former Name | DANI DOLORES JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05976) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: KS 01-05976) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2023-10-13 |