| NPI | 1588111314 |
|---|---|
| Former Name | BRIANNA LAARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0008259) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 6478) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-12-10 |