| NPI | 1609925999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00130000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005836) |
| 225100000X Physical Therapist (Licence: NY 027805-01) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01027200) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-02-25 |