| NPI | 1750864187 |
|---|---|
| Former Name | BRINA RAYNE SYCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60996167) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60996167) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-06-24 |