| NPI | 1497762066 |
|---|---|
| Former Name | YARISSA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00644000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011315-1) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-05-09 |