NPI | 1841869146 |
---|---|
Former Name | KIYA EINE ESTONE THURMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010609) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC .4685) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2022-07-05 |