NPI | 1194759126 |
---|---|
Other Name | BREE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12591) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
363A00000X Physician Assistant (Licence: AK 216277) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-07-29 |