| NPI | 1346621752 |
|---|---|
| Former Name | LEEANN RENCH BRIGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 274471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263355) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-03-19 |