| NPI | 1447605316 |
|---|---|
| Former Name | MARY ABIGAIL BREHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3650) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-08-05 |