| NPI | 1649723461 |
|---|---|
| Former Name | MARLA BRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006586) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007823) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-11-25 |