| NPI | 1558186171 |
|---|---|
| Former Name | ALEXANDRA PAYTON HERRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022026432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06998) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |