| NPI | 1174670525 |
|---|---|
| Former Name | PAULETTE DIANE MATUSZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000826) |
| Additional Taxonomies | 111NR0400X (Licence: PA DC009626) |
| 111NR0400X (Licence: NJ 38MC00635700) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-05-23 |