| NPI | 1215968623 |
|---|---|
| Former Name | JENNIFER M WALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00599500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01040) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-01-09 |