| NPI | 1821275983 |
|---|---|
| Former Name | LISA ISOMURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3021) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2015-09-23 |