NPI | 1407546021 |
---|---|
Former Name | BRITTNEE PEAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-173152) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-173142) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-173152) | |
Enumeration Date | 2023-05-08 |
Last Update Date | 2024-11-11 |