| NPI | 1366599177 |
|---|---|
| Former Name | BRIANNA LEIGH KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 45287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 22408) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-03-12 |