NPI | 1902965825 |
---|---|
Former Name | JENNIFER BOTELHO CUNHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 25662) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2227) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |