| NPI | 1306344221 |
|---|---|
| Former Name | BRIANNA GOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16325) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL OS16325) |
| 207Q00000X Family Medicine (Licence: AL DO.3375) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-03-29 |