| NPI | 1295802676 |
|---|---|
| Former Name | SUZANNE LUCILLE WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: NC 4015) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: NY X011286-1) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-05-12 |