| NPI | 1235512203 |
|---|---|
| Former Name | BRIANNA MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA12525) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12525) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-10-06 |