NPI | 1073957593 |
---|---|
Former Name | LISA BRAUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004423A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28104395A) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2023-11-27 |