| NPI | 1689156747 |
|---|---|
| Former Name | BRISLYN SIZEMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14445) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA23874) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-08-14 |