| NPI | 1487818779 |
|---|---|
| Former Name | KEVA RENEE PIERRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60026799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103685) |
| 225100000X Physical Therapist (Licence: GA PT008855) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |