NPI | 1639758600 |
---|---|
Former Name | ARRICE CHANEL BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301511825) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-08-27 |