NPI | 1003171968 |
---|---|
Other Name | BRIANNE LEIGH IADANZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022775) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012020336) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2023-11-07 |