NPI | 1194823757 |
---|---|
Former Name | PUJA ALLISON WENTWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC NC3758) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR1559) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-12-16 |