NPI | 1083255145 |
---|---|
Former Name | LANA BRIONNE HAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 201605834) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 201605834) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2019-10-02 |