| NPI | 1033723937 |
|---|---|
| Former Name | KATHERINE LYNETTE BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10886R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6988) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-01-15 |