NPI | 1508508243 |
---|---|
Former Name | BRIANNA DAWN KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2019004619) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2019004619) |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-04-12 |