| NPI | 1578892675 |
|---|---|
| Former Name | MALIA PUA LOKELANI PRUETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT34397) |
| 225100000X Physical Therapist (Licence: CA PT34397) | |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2018-04-13 |