NPI | 1326594219 |
---|---|
Former Name | BRIANNE ALEXIS AKEMI SHOJI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 760321) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2021-09-17 |