NPI | 1134894165 |
---|---|
Former Name | BREANNE ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8653) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-08-11 |
Last Update Date | 2023-12-07 |