| NPI | 1124353693 |
|---|---|
| Former Name | BRIANNA E HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60913223) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR 153165) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2020-12-06 |