| NPI | 1538990809 |
|---|---|
| Former Name | BRIANNA LOGSDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY I15849) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |