| NPI | 1790273324 |
|---|---|
| Former Name | BRYNA JUSTINE CAPSHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 56684) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01096878A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238392) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-08-25 |