NPI | 1588196406 |
---|---|
Former Name | BRIANA MAE KASMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY R4537) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY R4537) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2021-04-28 |