NPI | 1003993627 |
---|---|
Former Name | AMY MOONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2455) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR1393) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-11-30 |