| NPI | 1215455985 |
|---|---|
| Former Name | BRYANA LYNDSEY PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08822) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8468) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-09-27 |