NPI | 1689380941 |
---|---|
Former Name | BRIANNA ISABELLE GRUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 50.009210RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116974) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2025-04-17 |