NPI | 1821300955 |
---|---|
Former Name | BRIANNE SHAVONE HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 95472) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T-2325) |
207V00000X Obstetrics & Gynecology (Licence: LA MD.206996) | |
Enumeration Date | 2010-07-06 |
Last Update Date | 2023-07-12 |