| 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 |