| NPI | 1912202292 |
|---|---|
| Former Name | KARA LEE MARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2021030352) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32681) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2022-07-26 |