NPI | 1255052379 |
---|---|
Former Name | BRIANA RAE VRBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ID 15760) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201507682LPN) |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-09-07 |