| NPI | 1578147542 |
|---|---|
| Former Name | MONICA BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10492) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-01-24 |