| NPI | 1588111314 |
|---|---|
| Former Name | BRIANNA LAARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6478) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 6478) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-09-08 |