NPI | 1972840668 |
---|---|
Former Name | LAKESHA THOMAS-BRAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S02152) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12516) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2014-02-26 |