NPI | 1730703216 |
---|---|
Former Name | BRIANA MARIE BUCHMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 7911-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008393) |
Enumeration Date | 2020-06-01 |
Last Update Date | 2024-11-04 |