| NPI | 1770726432 |
|---|---|
| Former Name | BREANNA SKYE BARGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60551199) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60551199) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2015-07-10 |