NPI | 1568908929 |
---|---|
Former Name | BREANN NICOLE ROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7776134-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7776134-3102) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-10-06 |