NPI | 1548587231 |
---|---|
Former Name | BRIANNA RENEE BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301104908) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301104908) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2018-09-13 |