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 | 2025-09-15 |