| NPI | 1194848291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00021400) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00680100) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00680100) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |