NPI | 1568077246 |
---|---|
Former Name | BRITTANY DANYALE BRASHEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 57933) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2024-01-03 |