NPI | 1710504477 |
---|---|
Former Name | SUMMER REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020013203) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06112) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-02-03 |