NPI | 1356970867 |
---|---|
Professional Name | BRIANA BROUSSARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34576) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-06 |
Last Update Date | 2021-02-09 |