| NPI | 1114470549 |
|---|---|
| Former Name | COURTNEY BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004849) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138503) |
| 163W00000X Registered Nurse (Licence: AR R086552) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-11-01 |