NPI | 1265075006 |
---|---|
Former Name | BRIANA VIETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006014) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004343A) |
Enumeration Date | 2019-10-24 |
Last Update Date | 2024-11-11 |