| 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 |