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 |