| NPI | 1265473615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00680300) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary (Licence: NJ 40QA00680300) |
| 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: NJ 40QA00680300) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: NJ 40QA00680300) | |
| 2251H1200X Physical Therapist Hand (Licence: NJ 40QA00680300) | |
| 2251N0400X Physical Therapist Neurology (Licence: NJ 40QA00680300) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA00680300) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |