NPI | 1730628009 |
---|---|
Former Name | JILLIAN TARA GELB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13900) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00742400) |
Enumeration Date | 2017-02-19 |
Last Update Date | 2025-06-04 |