NPI | 1003306994 |
---|---|
Former Name | LIEN BRUSSELMANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP002233) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22737) |
207Q00000X Family Medicine (Licence: MI 4704301294) | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2023-03-01 |