| NPI | 1740364694 |
|---|---|
| Former Name | JENNIFER LYNN DENNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 10013) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 10013) |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 10013) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-12 |