| NPI | 1659919579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 18KT00892200) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00892200) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2023-11-27 |