| NPI | 1699948117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00697400) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00156600) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-05-25 |