NPI | 1265409833 |
---|---|
Former Name | ERICA ANNICE BRIGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R130552) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R130552) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2007-07-08 |