| NPI | 1528288982 |
|---|---|
| Former Name | JODI EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011379) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY 011379) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-03-17 |