| NPI | 1588855308 |
|---|---|
| Former Name | ELIZABETH VILLASENOR BULOSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 40QA00953000) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-06-30 |