| NPI | 1760919757 |
|---|---|
| Former Name | BRIELLE NICOLE STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD470627) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD470627) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-06-30 |