NPI | 1609404532 |
---|---|
Former Name | ALLYSON BROOKE BRAHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207N00000X Dermatology (Licence: MT MED-PHYS-LIC-134483) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2024-02-20 |