| NPI | 1609977032 |
|---|---|
| Former Name | DAGNEY LYNN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04572) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: KS 01-04572) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-16 |