| NPI | 1154997732 |
|---|---|
| Former Name | BRIANNA NICOLE DIERKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 2618) |
| 208M00000X Hospitalist (Licence: NE 2618) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2023-09-15 |