| NPI | 1902318017 |
|---|---|
| Former Name | JENNA MOSHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5594) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-04770) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-07-24 |