NPI | 1629097969 |
---|---|
Former Name | KRISTA LYNN BRACKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000673) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC 007804) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2008-11-07 |