NPI | 1619922127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ Board Certified M.D.) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07416300) |
225100000X Physical Therapist (Licence: NJ 40QA00715700) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2007-07-08 |