| NPI | 1124854609 |
|---|---|
| Former Name | BRETTANIE NICOLE BLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9477609) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035360) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-16 |