| NPI | 1154724631 |
|---|---|
| Former Name | BRIANNA REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA057216) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA003404) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-12-21 |