| NPI | 1295015063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01625000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00051900) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-10-10 |