NPI | 1396322988 |
---|---|
Former Name | BRIANNA BAHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101276078) |
Additional Taxonomies | 171000000X Military Health Care Provider |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101276078) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-28 |
Last Update Date | 2024-08-21 |