| NPI | 1477998037 |
|---|---|
| Former Name | BRIEANNA LEE SIEFKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 60026) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN Q457164668216) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2016-08-23 |