Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 18KT00258400 | NJ |
NPI | 1013331529 |
---|---|
Provider Name | Poiyee Mui |
First Address | Lyndhurst, NJ 07071-0980 |
Second Address | Ridgefield, NJ 07657-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |