| NPI | 1427307164 |
|---|---|
| Former Name | CARLA RAYCHELLE BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MI 4301101320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101320) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2017-08-07 |