NPI | 1962743807 |
---|---|
Former Name | JAIME LYNN SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00141500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01341100) |
Enumeration Date | 2013-03-01 |
Last Update Date | 2019-09-13 |