| NPI | 1477649812 |
|---|---|
| Former Name | BRIANNE LEIGH GIANCOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202000504NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN216557) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60732494) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN21658) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-03-31 |