| NPI | 1093192981 |
|---|---|
| Former Name | BREANNE KELLY CONNORS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-134460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-134460) |
| 363L00000X Nurse Practitioner (Licence: AL 1-134460) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-03-17 |