| NPI | 1205161551 |
|---|---|
| Former Name | LASHAWN ELAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P12856) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22329) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2023-01-13 |