| NPI | 1841670965 |
|---|---|
| Former Name | BREANNA NICOLE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-41712) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018041658) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-07-21 |