| NPI | 1073293718 |
|---|---|
| Former Name | BRIANNA NOELLE AMBROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT.61420784) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-10-25 |