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 Chiropractor, Rehabilitation (Licence: PA DC009626) |
111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00635700) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2016-05-23 |