NPI | 1871711333 |
---|---|
Other Name | DEBORAH BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA000530L) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA003566L) |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA MA0003566L) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2023-02-14 |