NPI | 1104381375 |
---|---|
Former Name | KASEY DARVIE BRIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001008773) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 0010-08773) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2024-10-23 |