NPI | 1649637109 |
---|---|
Former Name | ELIZABETH ANN KEENAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13473) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104-557306) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2023-07-11 |