NPI | 1063985828 |
---|---|
Former Name | SARAH LOUISE ROSEBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00778600) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013211) |
111NP0017X Chiropractor Pediatric Chiropractor (Licence: NJ 38MC00778600) | |
Enumeration Date | 2019-01-04 |
Last Update Date | 2022-09-27 |