NPI | 1043242407 |
---|---|
Former Name | NANCY LEE WILLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009584) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00607100) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-10-27 |