| NPI | 1114453917 |
|---|---|
| Former Name | BRIANA HENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006230) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-04-28 |