| NPI | 1386171908 |
|---|---|
| Former Name | BRIANNE RUNYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01087484A) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 56890) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-06-25 |