| NPI | 1962446153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA0029600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00028200) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-06-15 |