| NPI | 1649632274 |
|---|---|
| Former Name | BRYANNA ELIZABETH EVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058232) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003810) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-04-25 |