NPI | 1649257130 |
---|---|
Former Name | AUTUMN NICOLE CUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0108462) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 36MC00635000) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2025-03-13 |