| NPI | 1194416362 |
|---|---|
| Former Name | BREANNA BARRETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14089-33) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 232573) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-09-17 |