NPI | 1083900708 |
---|---|
Former Name | JORDAN ANN WERLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 268063-01) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A16288) |
207Q00000X Family Medicine (Licence: CA 20A16288) | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2025-08-27 |