| NPI | 1043801798 |
|---|---|
| Former Name | KATHERINE ELISE LAGARDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 55404) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-10-13 |