NPI | 1306082110 |
---|---|
Professional Name | HEATHER BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01928) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053591) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2019-05-28 |