| NPI | 1821159831 |
|---|---|
| Former Name | RENATA BRAUDY BEAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5989) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-07-08 |