| NPI | 1184185167 |
|---|---|
| Former Name | LUCY BRACHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-152441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-152441) |
| 163W00000X Registered Nurse (Licence: AL 1-152441) | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2021-09-28 |