| NPI | 1417798224 |
|---|---|
| Former Name | CRYSTAL PERLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00189400) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |