NPI | 1407319874 |
---|---|
Former Name | BRIANNA NICOLE ANDERSON-GREGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD211647) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60950299) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-11 |
Last Update Date | 2022-09-13 |