| NPI | 1417457193 |
|---|---|
| Former Name | BRIANNA RENEE ROSSKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006112) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: WV 2461) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-03-08 |