| NPI | 1023259090 |
|---|---|
| Former Name | KATIE LYNN BRILLHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 203881) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: LA MD.203881) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2012-09-07 |