| NPI | 1578319836 |
|---|---|
| Former Name | IWOAN KLAPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61528700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK PHYP2102) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-05-17 |