NPI | 1861792863 |
---|---|
Former Name | BRIANNE ELIZABETH FOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA-766) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA766) |
363AM0700X Physician Assistant, Medical (Licence: NC 0010-02339) | |
Enumeration Date | 2010-10-25 |
Last Update Date | 2022-04-29 |