| NPI | 1194026815 |
|---|---|
| Former Name | HARMONY RAE BROGDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA760) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MS PA00139) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2021-08-19 |