NPI | 1831202035 |
---|---|
Former Name | MARCI BRIGODE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02267) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052215) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2021-08-09 |