| NPI | 1962820910 |
|---|---|
| Former Name | BREANNE MICHELLE BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101262240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC md046785) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2019-11-06 |