NPI | 1770860009 |
---|---|
Former Name | KIMBERLY KRAUSE HORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 245) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091-0134019) |
171100000X Acupuncturist (Licence: FL AP2999) | |
Enumeration Date | 2011-11-15 |
Last Update Date | 2019-09-23 |