NPI | 1336228782 |
---|---|
Former Name | KAIULANI MATHANY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3996) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008824) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-01-11 |