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 |