| NPI | 1053977066 |
|---|---|
| Former Name | JULIA BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4618) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112184) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2022-03-27 |