| NPI | 1619924487 |
|---|---|
| Former Name | ALICIA K BRIMHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000736) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3130) |
| 363A00000X Physician Assistant (Licence: MT 544) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-03-07 |