| NPI | 1477196004 |
|---|---|
| Former Name | BRIE SICARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26701) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN00000026701) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000026701) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000026701) | |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2023-01-13 |