NPI | 1851699540 |
---|---|
Former Name | LEILANI LAMPA IRISARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01342500) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: NJ 40QA01342500) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2024-12-05 |