| NPI | 1295760619 |
|---|---|
| Other Name | BRENDA LEAIRD BRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 005508) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: 005508) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-12-20 |