NPI | 1225408123 |
---|---|
Former Name | BRIANA HAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015844) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18186) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2022-07-11 |