| NPI | 1588313035 |
|---|---|
| Former Name | HARLEY BRIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 5064) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-01-07 |